location
search-icon
institution
Divine Healthcare Services
Nursing Facility/Intermediate Care Facility in Brown Deer, Wisconsin
NPI 1982999090

Divine Healthcare Services is a Nursing Facility/Intermediate Care Facility based in Brown Deer, WI. Divine Healthcare Services practices in Brown Deer, WI. The NPI Number for Divine Healthcare Services is 1982999090 and holds a License No. 126208-30 (Wisconsin).

The current practice location address for Divine Healthcare Services is 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI and can be reached out via phone at 414-975-0121.

Location: 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI, 53209-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982999090
Provider Name
Divine Healthcare Services
Credential
Provider Entity Type
Organization
Address
4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI, 53209-1026
Phone Number
414-975-0121
Fax Number
Provider Enumeration Date
06/16/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
271904077 01 TX IRS
institution
Provider Business Practice Location Address Details
Address
4238 W Hawthorne Trace Rd Apt 104
City
Brown Deer
State
Wisconsin
Zip
53209-1026
Phone Number
414-975-0121
Fax Number
person
Provider Business Mailing Address Details
Address
4238 W Hawthorne Trace Rd Apt 104
City
Brown Deer
State
Wisconsin
Zip
53209-1026
Phone Number
414-975-0121
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
126208-30 (Wisconsin)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.